Provider Demographics
NPI:1437305752
Name:BROWN, SHERIDA L (NP)
Entity Type:Individual
Prefix:
First Name:SHERIDA
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:2678 BUFORD HWY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3240
Mailing Address - Country:US
Mailing Address - Phone:678-904-5999
Mailing Address - Fax:678-904-5998
Practice Address - Street 1:1800 PEACHTREE ST
Practice Address - Street 2:450
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:678-904-5999
Practice Address - Fax:678-904-5998
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2019-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN045651363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology